A total of 105 home dialyses were
performed, from which 57 blood
samples were analyzed. The results
were compared with those from dia-
lyses using cannulas, in the same two
patients (Table I).
With the fistula technique higher
values of BUN and creatinine are
noted post dialysis in Case 1 and pre-
dialysis in Case 2. Both wives man-
aged the technique with reasonable
confidence. Complications, such as in-
were not seen in over 105 consecutive
dialysis. In Case 1 a small aneurysmal
dilatation developed near the wrist
joint but it does not interfere with
either work or dialysis. On only one
occasion was venipuncture unsuccess-
ful. Both patients are fully rehabili-
tated and have gone back to work.
In accordance with the experience of
others,5' 6 A-V fistulas for home dia-
lysis involve no extra technical diffi-
culty but offer the following advan-
particularly clotting and infection. (2)
No need for long-term anticoagula-
(3) Convenience and freedom
from concern over their function.
Until now we have reserved the
in the cases reported.
However, in view of the acceptance
of this method a more widespread use
1. BRESCIA, M. J. et al.: New Eng. J.
Med., 275: 1089, 1966.
2. PATEL, R.
Brit. Med. J.,
3. COHEN, S. et
Trans. Amer. .Soc.
Artif. Intern. Organ.s, 14: 421, 1968.
4. KOLF'F, W.
SCUDDER, J. P.: Ibid., 8: 292, 1962.
5. SHALDON, S. AND MCKAY, S.:
Med. .1., 4: 671. 1968.
6. CHINITE, J. et al.: J. A. M. A., 210:
A cold-weather "jogging mask" for
T. KAVANAGH, M.D., Toronto
For the past two years we have con-
course for coronary thrombosis pa-
tients. The basic activities of the pro-
running. Within six months of joining
the class, most of the patients attain
a distance of two miles